Primary Teeth Retained
Conditions
Brief summary
Primary molars are the teeth with the highest caries tendency among primary teeth due to their anatomical features such as wide and flat interface areas. However, some difficulties are encountered during the removal of caries due to the structural features of primary molars and the young age of the child. Therefore, in the treatment of primary molars, Atraumatic Restorative Treatment (ART), in which the soft parts of the carious lesion are cleaned with the help of a sharp hand tool and restored with an adhesive glass ionomer cement (GIC) that releases fluoride, in the following years, the deciduous teeth were removed with a minimally invasive approach. Hall technique, in which a stainless steel crown (SSC) is placed without preparation for treatment, has come to the fore.
Detailed description
Many restorative materials, especially GIC, have been used for ART procedures, and with the advancing technology, high-viscosity glass ionomer cements with improved mechanical and chemical properties have emerged. In recent years, zinc-added HVGICs and nano-filled resin-modified HVGICs have been introduced. The Hall Technique has been suggested in the treatment of asymptomatic decayed primary molars in anxious and fearful patients to ensure patient cooperation. In this technique, it is aimed to stop the progression of caries by covering the carious deciduous molars with SSC and cutting their relationship with the oral environment, without the need for local anesthesia and tooth preparation. Thus, as the bacteria cannot use the carbohydrates in the oral environment, the number of bacteria in the environment will also decrease.
Interventions
DRUGHigh viscosity glass ionomer cement
High viscosity glass ionomer cement
DEVICEStainless steel crown
Stainless steel crown
Sponsors
Esra Oz
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
5 Years to 7 Years
Healthy volunteers
Yes
Inclusion criteria
* children with no systemic disease, * children who had a Frankl Behavioral Scale score 2, * children who have no occlusal problems or bad habits, * children presenting between 2-5 caries lesion in primary molars.
Exclusion criteria
* teeth with presence of radyolusens in furcation and/or periradicular areas, * teeth with pathologic resorption and internal/external resorption
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hall technique | up to 18 months | The restorations were scored as Alpha (A), clinically ideal restoration ''successful''; Bravo (B), clinically ''acceptable''; Charlie (C), clinically unacceptable restoration ''unsuccessful''. Outcomes criteria for assessment of the Hall Technique were made according to Innes et al. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Atraumatic restorative treatment | up to 18 months | Clinical evaluations of teeth treated with ART using EQUIA Forte were performed according to the modified USPHS criteria established by a modification of the United States Public Health Service (USPHS) clinical evaluation criteria. |
Countries
Turkey (Türkiye)
Outcome results
None listed